The 1970s constitute the decade of decisions about state mental hospi-
tals! These large, monolithic, and seemingly impervious institutions are
being phased out in some states and their basic purpose for exis- tence
is being seriously questioned in almost all others. Since 1970,
hospitals have closed in California, Illinois, Kentucky, Massachusetts,
Minnesota, New York, Oklahoma, Washington, and Wisconsin. Simi- lar
closings have occurred in several provinces of Canada, in Great Britain,
and in some European countries. The purpose of the book is to examine
the multiple issues growing out of the hospital closings: Why are the
state hospitals being closed? What is the impact of closings on
patients, hospital staff, and the communities where the hospitals are
located? What has been the impact on the communities receiving these
patients? What are the trends for the future, in terms of numbers of
closings and types of hospitals which will remain? Is there a role for
the state hospital in the care of the mentally ill or is it an obsolete
institution? The impetus for the closings is diverse. The discovery and
wide- spread use of the tranquilizing drugs in the early 1950s allowed
more patients to be returned to the community-under medication.